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Home My WebLink AboutPermit Building 2009-06-12 CITY OF SPRINGFIELD > :1 > ' . Buil~,ing/combination Permit " ' Status Issued PERMIT NO: COM2009-00624 ISSUED: OS/22/2009 APPLIED: 05/07/2009 EXPIRES: 12104/2009 VALUE: $ 56,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 400 52ND PL ASSESSOR'S PARCEL NO.: 1702333102300 SPRINGFIETYPE OF WORK: Mannfactnred Home on ii Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Mannfactnred home'on private lot Owner: Address: CHRISTOPHE. FILLMORE 317 30TH ST'137 D SPRINGFIELD OR 97478 Contractor Type Electrical Mallnf Home,Inst I CONT~CTOR INFORMATION' Contractor' License . SIMPSON ELECTRICAL CONSTRUCTION CI33886 , CONKRAFT CONSTRUCTION INC 172108 BUILDING INFORMATION' Expiration Date 03/05/2011 09/1512010 Phone 503-472~2530 (503) 209-1373 4' # of Stories: I Height of Strnctnre Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Bnilding: n/a Lot Size: 'I Sq Ft 1st Floor: Sq Ft 2nd Floor: " Sq Ft Basement: :I,' Sq Ft Garage/Carport Sq Ft qther: Occnpant Load: 11,250 1,548 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: I R~3 VB I DEVELOPMENT INFORMATION' Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 45.00 7.50 7.50 79.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING 2 Total: I 2 Handicapped: Yes I ' Comp'lict: you to ATTENT\oti4g0'lgo~ b~~h; Oregon Utility io\\oW rules ac\opt\hOSe rules are set for~h ., _d'Mti"n Center. . .h riAI'< 952-00 ,- I PUBLIC IMPROVEMEN'tiS.'iAR 952-001-U~t~~'~;P\~S 01 the r~les:y , uu80, Yo.u may ~'" (Note: tM te\ep on P t. II I . d callinSu,lewalk ''Fype: Ut'I\\ty Notllicatlon ar la y mplove "j the Oregon st"J&Tsrwej. Available: No numbDo,$~sp'ontslD,rains:'32-2344), Si1~~![i,1 'n}m\':4~ic@::1ALL EXPIRE IF,THE WORK v811lt' " , AUTHORIZED UNDER THIS PERMIT IS NOT Ne\~~~MENCED OR IS ABANDONED FOR ANY 180 DAYRERIOD. ". Street Improvements: Paee I of 3 05/1112009 05/11/2009 05/11/2009 APP LLH 05/11/2009 05112/2009 APP LKW 05/12/2009 05/12/2009 WE KLK 05/11/2009 05/14/2009 APP DDK Approved asshown on plans. Paee 2 of 3 Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7~6-3769 Inspection Line DescriDtion Tvpe of Constrnction Fonndation Onlv Use Bid Amonnt MannI' Home Mannfactnred Home Fee Description Plan Review Residential Addressing Assignment Cnrbcnt Permit Mannf Home State Issnance Mannfactnred Home Placement Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbnrsement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Tran Reimbnrs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Storm Drainage Impervious Area Willamalaue Manuf Home Private + 12% State Snrcharge + 5% Technology Fee + 12% State Snrcharge + 5% Technology Fee Manufactured Home Service Total Amonnt Paid Structural Review Initial Review Pnhlic Works Review Structu ral Review Plan nine Review CITY OF SPRINGFIELD Buil~ing/c?mbination Permit " PERMIT NO: COM2009-00624 ISSUED: OS/22/2009 APPLIED: 05/07/2009 EXPIRES: 12/04/2009 VALUE: $ 56,500.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Sqnare Footage or Bid Amonnt 6,500.00 50,000.00 Valne Date Calcnlated Total Value of Project $6,500.00 $50,000.00 $56,500.00 05/07/2009 05/11/2009 F~p. PqitIJ Amonnt Paid Date Paid Receipt Nnmber 1200900000000000362 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 1200900000000000526 120q900000000000577 1200900000000000577 1200900000000000675 1200900000000000675 1209900000000000675 $69.39 $38,00 $88.00 $30.00 $397.00 $2I1.00 $504.88 $663.96 $10.00 $1,009.17 $97.90 $130.42 $201.54 $888.98 $74.90 $729.90 $2,858.00 $47.64 $19.85 $7.56 $3.15 $63.00 5/7/09 5/22/09 5/22/09 5/22/09 5/22/09 5/22/09 5/22/09 5/22/09 , 5/22/09 5/22/09 5/22/09 5/22/09 5/22/09 5122/09 5/22/09 5/22/09 5/22/09 6/1 /09 6/1/09 6/12/09 6/12/09 6/12/09 $8,144.24 Plan Reviews I _~RINQIi'la:1.0" ~l CITY Vi' ~l'Kll~GFIELD Status Issued Buil4ing/combination Permit PERMIT NO: C:OM2009-00624 ISSUED: OS/22/2009 APPLIED: 05/07/2009 EXPIRES: 12/04/2009 VALUE: $ 56,500.00 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Strnctnral Review , 05/14/2009 05/14/2009 APP KLK To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested, after 7:00 a.m. will be made the following . . work day. I Renuired Insnections , Mannf Home Set Up: When installation of all piers or stands is complete. Final Mannf Home Set Up: After allreqnired inspections are reqnested and app~oved andporches, skirting, decks, venting, street addre~s numbers, trees, d~iveway, etc. have been installed. ' . Mannf Home Plnmbing: After home has been connected to water and sewer. MH Electric: When blocking, setnp and plnmbing inspections have been approv~d and the;home is connected to ilie~nd . MH Service: Approval required prior to utility company energizing service. II Erosion/Grading Inspection: Prior to ground disturbance and after erosion meas.ures arei'nstalled. '! MH Service: Approval reqnired prior to utility company energizing service. By signatnre, I state and agree, that I have carefnlly examined the completed applicationl and do hereby certify that all . information hereon is trne and correct, and I fnrther certify that any and all work perfofmed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre withont permission of the Commn'nity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensnre that all reqnired inspections are reqnested at the proper time,.that each a'ddress is readable from the street, that the permit card is located at the front of the property, and the approved set 61' plans will remain on the site at all , , 'I,' ' hmes durIll7struct~A, ' ~f~A ?/Z-o'7 ....-'./ /1 Owner or Coi:Itractors Signature' V Date Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/JournalNumber COM2009-00624 COM2009-00624 COM2009-00624 Payments: Type of Payment Check Cash Job/Journal Number COM2009-00624 COM2009-00624 COM2009-00624 Payments: Type of Payment Check Cash cReceinll RECEIPT #: Description' Manufactured Home Service + 5% Technology Fee + 12% State Surcharge Paid By SIMPSON ELECTRICAL SIMPSON ELECTRICAL Description Manufactured Home Service + 5% Technology Fee + 12% State Surcharge Paid By SIMPSON ELECTRICAL SIMPSON ELECTRICAL 1200900000000000675 City of Springfield Official Receipt Deyelopment Services Department Public Works Department Date: 06/12/2009 Item Total: <"':heck Number Authorization Received By Batch Number Numb'er How Received NJM NJM 1088 In Person In Person Payment Total: , II Ii Item Total: )i Received By Check Number Authorization Batch Number Numbh How.Received " NJM NJM Page 1 of 1 1088 In Person In Person Payment Total: 8:57:42AM Amount Due 63.00 3.15 7,56 $73,7\ Amount Paid $70.56 $3.15 $73.71 Amount Due 63.00 3.15 7.56 $73,71 Amount Paid $70.56 $3.15 $73,7\ 6/1 2/2009 Electrical Permit Application, ClTY'UF SPRH~(;FIELD, OREGON 225 Fifth Strttt+ Springfield. OR _97477. PH(541)726.3753. FAX(541 )726-3689 : : . ' I', ',. '. DEPARTMENT USE ONLY ~~ I permitno, e9-~;)V . . I Date: ~ ~ / )... - 0 J This permit is issued under OAR 918-309~OOOO. Permits are noutransferable..Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' I". LOCAL GOYERNMENT APPROVAL'I I. IFEE'SCHEDUL.E 1 Zoning approval verified? DYes D No 1 INumberorinspectio~:speritemi).,i IQly.l, .~~~t: I' CATEGORY ..oF CONSTRUCTION I 1 1 1 I I ~esidential, per unit,~.I~service included: lSa:Residential D Government 0 Commercial ,I _JOB SITE 'INFORMATION AND LOCATION, ,: I 1 1,000 sq. ft. orless(4j~ · I. u '" I I Each additiona\' 500 sq, ft, or portion Job site address:- 100 5:2 f'L 5J~'~' . . thereof" 1 City: Spv:l"lj.?,e.-IJ? l State: 6j2.. f!ZIP: Cf7't(1 I Limitedeuergy(2) I Referen~e: \'~rQ.3~ \ .' . . I Tax.IOt.:rJJ:8.IT '1 Each mannfactured horn. e or modnlar t I, DESCRIPTION 'OF WORK " dwellmg servIce or feeder (2). , I./V'I (7 I _ /J L S' _ . I Services or feeders: installation, alteration, relocation T"t!(\Ut'tor._T"IA...,.._X rl.dW1.L€.r';lce 1 . ' 1 200 amps or less (2) . $ 81.00 I 'PROPERTY"OWNER. . 1201 to 400 amps (2) " $ 95.00 1 Name:l.'~r ~\t~ .' 1401 to 600 amps (2) .. $158,00 I Address:~\'1 .~'fn ~ \'3rt {) . 1601 to 1,000 amps (2j: $205,00 I City:..~.ii\(\~ State: (9fL I ZIP: C(7cf ~ lOver 1,000 amps or volts (2) $469,00 1 Phon~ --:-."\ .,: 1 Fax: _ I . 1 Reconnect only (2). $ 63:00 , . I Temporary service~ or feeders: installation, alteration, relocation 200 amps or less (2) E-mail: I Total I cost' 1 1 I $32.001$ 1 $ 63,00 I $6~UbI 1 1 1 1 1 1 1 1 I 1 I I 1 1 I I 1 I I I I I I ~I $ ("S,OD I $ '7.5(,,1 $ "S'. IS~ $cyO~SC; 1 (8. ;, I $134,00 $ 25,00 $ 63.00 This installation is:being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479.560(1). Signature: I,' CONTRACTOR INSTALLATION I 1 Bnsinessname: <];,,,,,,p<;.rY') EIe.dv,r_1 (u.'\sf...-"c:h"'! I Address: J ('-{S jJd;; MC.l)u1", IJ /.-...... sf<.: c I 1 City: ()J1c..t1!I:flf\';: II,. 1 Stiite:o..z.. 1 ZIP:'17IZi? I . Phone:59:;4'14 - 2~'3o 1 Fax:'s'D'<; '-/;35-0/ <5:'7 I I. ',Firstbranchcircuit(2). I $ 55.00 I $ E-mail: 1 1 Each additional branch circuit $ 6.00 $ I CCB license no.: {33S"i? (" I BCD license no.: 3' -S;;lc 1 1 Miscellaneous rees: service or feeder not included I Signing supervisor's license no:: so "7 35 1 I Each pump or irrigatiop circle (2) $ 63.00 I Print" name of s~gning supervisor: U. -9'", ;',-., '5:'rnfs <n--. 1 I Each sign or outline lighting (2) $ 63.00 I Signature of signing supervisor' ( # I ..' ,- ~ I I SIgnal. CIrCUIt or a h-!,11Ited~energy paneL I $ 63.00 . I^ ^ ~ alteration, pr extenslOn:(2) , -,- . .'. I Eacb additional inspection: (1) 1 1 $58.00 I' '",; ',.t'":,,,: ' ,"Af>f>l::ICi(NT."(JSE' I (A) Enter subtotal of ahove fees (Min~mum Permit F!e S58.00) I (B)Enter 12% surcharge (.12 x[AJ) (C) Technology Fee (5% of[A]) TOTAL rees and snl;Charges (A through C): ~~: Cb' ~ ~.\ \.0.0\ ..~~9- \J--\ 440-25&4-J (9/08/COM) , 20] to 400'amps (2) 40t to 600 amps (2) $ 87,00 $126:00 'Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, ,alteration, ~xtension per panel a Fee for branch circuits with purchase of a service or feeder fee: $ $ $ $ $ $ $ $ $ $ $ Each, branch circuit I $ 6,00 I $ .b. Fee-for br~ch circuits without purchase o(a service or feeder fee: $ $ $ $